MOUNTAINSTAR CARDIOVASCULAR SERVICES LLC
NPI 1689721219
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Salt Lake City, UT

Q: What is Mountainstar Cardiovascular Services LLC's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Active since January 04, 2007

1160 E 3900 S, SUITE 3500, SALT LAKE CITY, UT 84124(801) 743-4750(801) 743-4765 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 13, 2026, Aug 29, 2023, Jan 2, 2023 and 1 more (4 updates tracked since 2020).

On this page

About Mountainstar Cardiovascular Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOUNTAINSTAR CARDIOVASCULAR SERVICES LLC (NPI 1689721219), doing business as Mountainstar Cardiovascular Surgery, is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Salt Lake City, Utah and active in the NPI registry since January 2007. The organization lists Louis Joseph, Vp, as its authorized official.

NPPES Registry Identity

NPI1689721219

Entity TypeOrganization

Primary Taxonomy208G00000X

Legal Business NameMOUNTAINSTAR CARDIOVASCULAR SERVICES LLC

Location Address1160 E 3900 S, SUITE 3500Salt Lake City, UT 84124-1202

Mailing Address2000 Health Park DrBrentwood, TN 37027-4525 · (615) 373-7406 · Fax (866) 346-1426

Phone(801) 743-4750

Fax(801) 743-4765

Organization SubpartNo

Authorized OfficialLouis JosephVp · (615) 373-7630

Enumeration DateJanuary 4, 2007

Last NPPES UpdateMay 13, 20264 updates tracked since enumeration

NPPES CertifiedMay 13, 2026

✔ NPI 1689721219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

1160 E 3900 S, Salt Lake City, UT 84124

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Other Names 1

Doing Business AsMountainstar Cardiovascular Surgery

Other Identifiers 1

Medicaid1689721219UT

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mountainstar Cardiovascular Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 13 clinicians reassign Medicare billing to Mountainstar Cardiovascular Services LLC, which bills Medicare for the services they deliver. Of these, 7 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Nurse Practitioner6

Thoracic Surgery4

Vascular Surgery2

Cardiac Surgery1

Clinicians, nearest first (13)

Briana Civello, ACNP

Nurse Practitioner

NPI 1669236444

1160 E 3900 S STE 3500
Salt Lake City, UT 84124

(801) 743-4750

✔ PECOS✔ Accepts Medicare1.5 mi

Holly Ryan, M.D.

Vascular Surgery

NPI 1730610015

1160 E 3900 S STE 3100
Salt Lake City, UT 84124

(801) 262-2806

✔ PECOS✔ Accepts Medicare1.5 mi

Wendy Douglas, ARNP

Nurse Practitioner

NPI 1427297084

1160 E 3900 S SUITE 3500
Salt Lake City, UT 84124

(801) 743-4750

✔ PECOS✔ Accepts Medicare3.6 mi

Colleen Gowans, NP-C

Nurse Practitioner

NPI 1770170672

1160 E 3900 S STE 3100
Salt Lake City, UT 84124

(801) 262-2806

✔ PECOS✔ Accepts Medicare3.6 mi

Rafe Connors, MD

Thoracic Surgery

NPI 1497954416

1160 E 3900 S STE 3500
Salt Lake City, UT 84124

(801) 476-6900

✔ PECOS✔ Accepts Medicare3.6 mi

Dustin Fanciullo, M.D.

Vascular Surgery

NPI 1013164052

1160 E 3900 S STE 3100
Salt Lake City, UT 84124

(801) 262-2806

✔ PECOS✔ Accepts Medicare6.2 mi

Kristi Kissell, APRN

Nurse Practitioner

NPI 1346656212

500 FOOTHILL DR
Salt Lake City, UT 84148

(801) 528-1565

✔ PECOS✔ Accepts Medicare7.2 mi

Spencer Melby, MD

Thoracic Surgery

NPI 1720081243

700 W 800 N STE 444
Orem, UT 84057

(801) 743-4750

✔ PECOS✔ Accepts Medicare28 mi

Trenton Williams, DNP

Nurse Practitioner

NPI 1184280869

700 W 800 N STE 444
Orem, UT 84057

(801) 743-4750

✔ PECOS✔ Accepts Medicare28 mi

Karen Glauser, FNP

Nurse Practitioner

NPI 1528555257

425 E 5350 S STE 405
Ogden, UT 84405

(801) 476-6900

✔ PECOS✔ Accepts Medicare34 mi

Robert Zink, MD

Thoracic Surgery

NPI 1922067651

425 E 5350 S STE 405
Ogden, UT 84405

(801) 476-6900

✔ PECOS✔ Accepts Medicare34 mi

Curtis Hunter, MD

Thoracic Surgery

NPI 1780624841

10833 LE CONTE AVE 62-182 CHS
Los Angeles, CA 90095

(310) 825-9820

✔ PECOS✔ Accepts Medicare580 mi

David Affleck, MD

Cardiac Surgery

NPI 1710979653

222 N 7TH ST
Bismarck, ND 58501

(701) 323-6000

✔ PECOS✔ Accepts Medicare699 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mountainstar Cardiovascular Services LLC's NPI number?

The NPI number for Mountainstar Cardiovascular Services LLC is 1689721219. It was assigned to this organization in the NPPES registry on January 4, 2007. The provider is doing business as MountainStar Cardiovascular Surgery.

Where is Mountainstar Cardiovascular Services LLC located?

Mountainstar Cardiovascular Services LLC is located at 1160 E 3900 S Suite 3500, Salt Lake City, UT 84124. The listed phone number is (801) 743-4750.

What is Mountainstar Cardiovascular Services LLC's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Mountainstar Cardiovascular Services LLC enrolled in Medicare?

Yes. Mountainstar Cardiovascular Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mountainstar Cardiovascular Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 4 Medicare specialties reassign their Medicare billing to Mountainstar Cardiovascular Services LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (6), Thoracic Surgery (4) and Vascular Surgery (2). Of these, 7 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mountainstar Cardiovascular Services LLC accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Mountainstar Cardiovascular Services LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mountainstar Cardiovascular Services LLC was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.